Most Relevant Information
Provider Data
| NPI Number: | 1003381385 |
| Provider Name: | SUMRA BARTLETT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2018 |
| Last Updated: | 10/12/2018 |
Provider Practice Location
2285 RENAISSANCE DRIVE
LAS VEGAS
NV
89119
Practice Location Phone/Fax
| Phone: | 7022096168 |
| Fax: |
Provider Mailing Location
2285 RENAISSANCE DR
LAS VEGAS
NV
891196170
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |